HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED --
Date: �• Permit Number: 1 P/V T— 19 y� O
RECENED
Building Permit Application APR 18 2017
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax: (772)462-1578 Commercial Residential '�A
PERMIT APPLICATION FOR: Fence
PROPOSED..IMPROVEMENT.;LOCATION"
Address: 7807 Westmont Dr, Ft. Pierce, Fla. 34951
Legal Description: Lakewood Park-Unit 3-131k 22,Lot 23(map 13/11S)or(630-863)
Property Tax lD#: 1301-603-0168-000-3 Lot No.23
Site Plan Name: n/a Block No. 22
Project Name: Patterson Residence
Setbacks Front Back: 0 Right Side: n/a Left Side: n/a
DETAILED DESCRIPTION OF WORK:
Install 96' of 4' Galvanized chain link fence with 5' gate at rear property line, a 5' gate on the right side
of property and a 4' gate on the left side of property .
CON STR U CTI O N.'I N FORMATION:
AclClitional work toe e Orme under is permit—check a appy:
HVAC E]Gas Tank ❑Gas Piping _Shutters Q Windows/Doors
FlElectric ElPlumbing Sprinklers E Generator a Roof Roof pitch
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 1345 Utilities:Sewer E]Septic Building Height:
OWNERAESSEE: „CONTRACTOR:
Name Alvin Patterson Name: Ross A.Chambers
Address:7807 Westmont Drive Company: Adron Fence Co
City: Ft. Pierce State:Fl Address: 1132 NE 12th St
Zip Code: 34951 Fax: City: Okeechobee State..Fl
Phone No.772+4663675 Zip Code: 34972 Fax: 863-763-8404
E-Mail:n/a Phone No. 800-282-5172
Fill in fee simple Title Holder on next page(if different E-Mail: adronfence@live.com
from the Owner listed above) State or County License: 18971
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTA'L.CONSTRUCTION LIEN,LAW,INFORMATION:'
DESIGNER/ENGINEER: _Not Applicable ORTGAGE COMPANY: _Not Applicable
Nam` N e:
Address. Addres .
City: State: City: State:
Zip: Phone: Zip. hone:
FEE SIMPLE TITLE 11 ER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
Zip:. Phone: Zip: Phone:
certify that no work or installation has commenced prior to the issuance of a permit.
St.Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules,bylaws or and covenants that may restrict or prohibit such
structure.Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit,I do hereby agree that I will,in all respects,perform the work
in accordance with the approved plans,the Florida Building Codes and St.Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review:room additions,
accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory uses to another non-residential use
WARNING TO OWNER:Your failure to Record a Notice of Commencement may result in your paying twice for
improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commenf.ing work or recordin&your Notice of Commencement.
,,4L 4&4L11_"*"
s
Si nature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF OKECHOBEE COUNTY OF OKEECHOBEE
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this rdayof 20 L7-by this " day of APRIL 20 17 by
ROSS A.CHAMBIkRS ROSS A.CHAMBERS
(Name of person acknowledging) (Name of person acknowledging)
dQ&&� �&6L4aU1JLV0Ad,'
(Signature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida)
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
fTfn .: `3�.wf. �::�--23`,•:3'x.=_...a._i:.=:a;:
Type of Identification Pro Mype of Identification P DOREEN odifc1�" '
DOREEN ELARDI `'SPa4 e ` k'
�o<PaYP�e��., Viz,( ,`�s Notary(Y5pu.bi:',`-Staie Of Florida 1�
Commission No. ;a. o�; N {fgl�ubl'.c-State of Florid ommission No. _ * ' •= M Cof}1TTiXpires Oct 21,2018
y
My Comm.Expires Oct 21,201 Commission # FF 150067
•.,9, �> Commission# FF 150067
'" "` Bonded Through National Notary Assn.
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS